27343D - Knott

CAMA and DREDGE AND FILL �343_
GENERAL
PERMIT
._ . 2as authorized by the State of North Carolina
)11 ..... Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC -)iC .UJo 3 it N(L, S i t�?_.D Jc7
Applicant Name /�I t4 M ' KAin of CaoS Phone Number 3 k' ci gi v
Address 10) uAA()Fvdt (1,1) 5 Jfi,.
City o f r.0 I -- - ? t 1 C.+( State (1/E- Zip f) k V b u
t
Project Location (County, State Road, Water Body, etc.) 3-ik•►"Y•-e , AA i .t e \-1 641 1 c.)A- y
c'►.,Slow CZ
Type of Project Activity K kV l) h N -K r cA-A A t)i4-& S
PROJECT DESCRIPTION SKETCH (SCALE: / = 30 ' )
Pier(dock)Length itt lir _ 1111 , .
r� t
illitla
Groin Length
number on
7
I11I1I 1l—11.OI1IM1III1I 11I1I1 .11il1e1y11 1 lrEiml ic,ii Ii 111II=e 1
Bulkhead Length '"/7 ,.....: . L I5II �. .E'"��,rrrsirrsr. 4gmo
max.distance offshore S r 55_ i 1 ■ ■ det; ii.
a ■i[ir _ � 0
Basin,channel dimensions [n * TEll Fill‘01.411 Mill
_..._.. _...._. .. . t 04
cubic yards ;.�
:4_00
It
I k
Boat ramp dimensions
Other / !iIiiFiiiiIi
ii lind I 111 . • A_ .. t ( wel ,.
This permit is subject to compliance with this application, site drawing /4 /� i 1//, ' A,qt%,
,....0._
and attached general and specific conditions.Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.This permit must be on the project site and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- 0 —//— C°1 O 9- / ,f - 0
Pies by signing this permit that 1) this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they -) K .o o
have no objections to the proposed work. attachments
DL)
In issuing this permit the State of North Carolina certifies that this project /06. C /-4-" 6GJ
is consistent with the North Carolina Coastal Management Program. application fee

CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "PT" - Public Trust
"EW" - Estuarine Waters "CW"- Coastal Wetlands
"ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural
"PW" - Public Water Supply "OR" - Outstanding Resource Water
•
CODES FOR PROJECT
"P" - Private-usually an individual "F" - Federal
"C" - Commercial "L" - Local Government
"U" - Utility "H" - Housing Development
"S" - State "0" - Other
# CODES FOR PROJ DESCRIPTION
"11" - Bulkheads, Riprap "16" - Utility Lines
"12" - Piers, Docks Boathouses "17" - Emergency Repairs
"13" - Boat Ramps "18" - Beach Bulldozing
"14" - Wooden Groins "19" - Temporary Structures
"15" - Maintenance of Basins, Channels,Ditches
GENERAL PER1VIIT COMPUTER FORM
APPLICANT NAME: 1fV\-
ADDITIONAL NAMES:
•
AEC DESIG: S 'vU + PT b{-y- DEVELOP AREA: O.QL PROJ DESC: P - •
(will only take 6) q (Will only take 1)
WORK: 1
S (wm only take 4)
WONT:
1:
(Will only take 4)
.
Y
�m
IMP: t 1
(will only lake 6) / F 7- v
,Ij%F �rj,
: f
ACTION EXPIRATION
f
DREDGE&FILL REQUIRED: 0 C -15'"a t D
CAMA MAJOR DEVEL REQUIRED:
.711 '4?=�.:i+�/lYI� ':irr.:: :�.r.r...+,-n•:�•..rw.-.-�rS-7!:^ .- __-

64-07,-/ - alit / ' il,,z e e:t:''''1 .
' -15---j
PA,/„e- __ --Aet-ti
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ri�s ip7PCe_ cf /gni
d a �ay
pcJ ask e / ,
by b a r rf c ' %-`.."Z

DIVISION OF COASTAL
ADJACENT RIPARIAN PROPERTY ppN� NpNAGEMENT
�TiFICATIDN AAIVEB_ PORM
Name Of Individual Applying For � h Permit:
Address Of Property: ` / f � � fl
vale- rhq/s
v�
r sa; ea4(Lot or Street Street or Roa �'
City & County)
I hereby certif
refer y that I own pro
enced property. The individual
e aty p adjacent to the above-
described to me as shown on the attached drawing
Plying for this permit has
thoyld bee Proposing. A description or drawin the development
provided with this letter, g, with dimensions,
I have no objections to
this proposal.
•
Division If you have objections to what is being prop
Wilmington f Coastal Management °Sed please write on
North Carolina . 127 Cardinal Drive days of receipt of Ca28405 or call 91.0 Extension`
this notice. 395-3900 within 10
• as no objection if you have been response is considered the same
-n notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock,I house,nd lift mooring pilings, brew
from - must be set back a minimumtancer, boat
my area of riparian access unless waived by
to waivedistance of 15'
the setback, you must
below. ) initial the me. (If you wank
appropriate blank
I do wish to waive the 15'setback reqIV uirement.
I do not wish to waive the 15'setback rea
uirement.
Date
Pr ' t -ame •
-I
Telephone N tuber With AreaN
Code F

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER- FORM'
Name Of Individual Applying For Permit: I 7h "Iv ', oft '��
Address Of Property: S7d femme Virn / 0r,
• r7A 7 s c i (. J3eae,
(Lot or Street a, Street
ity �
or Road, & County)
I hereby certify that I own
property. Property adjacent to the above-
referenceddescribed to me_ as shown on the attached drawing applyingvidual for this permit has
they are proposing. A description or drawing, the development
should be provided with this letter., with dimensions,
__IL I have no objections to this proposal.. p al.
•
If you have objections to what is being proposed pleas
e write
Division of Coastal Management. 127 Cardinal Drive Extension.
Wilmington . North Carolina . 28405 or call 910 395_3900n.
within 10
days of receipt of this notice. No response is considered the same
as no objection if You have been
notified by Certified Mail
WAIVER SECTION
•
I understand that a pier, dock, :moorin
hoLse, lif g pilings, breakNat_
must be set back a minimum dista ter' boa` •
from my area of riparian acre distance of 15'
to waive the setback access unless waived by me. (If .
you must initial the you wank
below. ) appropriate blank
� // I do wish to waive the 15'setback requirement.
I do not wish to waive the lS'setback
requirement.
•
atur .
Da i_e
p nt Nam. s
....„IfIr
Telephone Number With Area Code
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*-12 MILES TO SURE CITY \ : PROPOSED RCLOC TIION N.C. STArl RD. NO. 110 1
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